Individual provider Active NPI

Rebecca Haddad, PA-C

  • Physician Assistant
  • Coeur D Alene, ID
National Provider Identifier
1003572041
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2271971 Issued in ID
Practice address
2426 N Merritt Creek Loop Ste a
Coeur D Alene, ID 83814-4961
Phone
(208) 819-2183
Fax
(208) 209-6063
NPI assigned
Nov 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2271971 ID Primary
Physician Assistant 363A00000X PA70037722 WA

Addresses

Primary practice location

2426 N Merritt Creek Loop Ste a
Coeur D Alene, ID 83814-4961

Mailing address

12657 N Kenosha LN Apt J303
Rathdrum, ID 83858-7477
Phone (412) 841-3114

Other practice location 1

17121 E 8th Ave
Spokane Valley, WA 99016-8556
Phone (208) 819-2183

Other names 1

  • Becca Haddad Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, ID, WA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20221121001708 PA Practitioner - Physician Assistant 6103294269 Reassigns benefits to 2 organizations
I20251010001116 ID Practitioner - Physician Assistant 6103294269 Reassigns benefits to 2 organizations
I20251015002902 WA Practitioner - Physician Assistant 6103294269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meza Post Acute and Long Term Care PLLCGroup PAC ID 4981028503, 26 clinicians

Practice addresses (Care Compare)

210 W Lacrosse Ave
Coeur D Alene, ID 83814-2403
Phone (208) 664-2185

3400 E Fernan Hill Rd
Coeur D Alene, ID 83814-7588
Phone (208) 819-4970

Hospital & facility affiliations

  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2271971IDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Meza Post Acute and Long Term Care, PLLC CurrentSince Sep 15, 2025 Accepting new patients
Univesity of Pittsburgh Physicians CurrentSince Oct 23, 2023 Accepting new patients
University of Pittsburgh Physicians CurrentSince Oct 23, 2023 Accepting new patients
Sound Physicians of Idaho Family Medicine CurrentSince Oct 21, 2025 Accepting new patients
Meza Consulting LLC Family Medicine CurrentSince Sep 5, 2025 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine Past Accepting new patients

Locations

2426 N Merritt Creek Loop
Ste A
Coeur D Alene, ID 83814
Phone (208) 668-7000

2514 N 7th St
Coeur D Alene, ID 83814
Phone (208) 664-8128

240 E Kathleen Ave
Coeur D Alene, ID 83815
Phone (208) 495-4896

2100 E Sherman Ave
Coeur D Alene, ID 83814
Phone (208) 215-7166

2200 N Ironwood Pl
Coeur D Alene, ID 83814
Phone (208) 667-6486

210 W Lacrosse Ave
Coeur D Alene, ID 83814
Phone (208) 664-2185

2772 W Avante Loop
Coeur D Alene, ID 83815
Phone (208) 215-3849

410 NE 2nd St
Grangeville, ID 83530
Phone (208) 983-1131

10547 N Reed Rd
Hayden, ID 83835
Phone (208) 691-9664

10585 N Reed Rd
Hayden, ID 83835
Phone (208) 691-9665

9873 N Buttercup Ln
Hayden, ID 83835
Phone (208) 762-9001

1027 E Honeysuckle Ave
Hayden Lake, ID 83835
Phone (208) 719-9405

325 Warner Dr
Lewiston, ID 83501
Phone (208) 791-6183

3315 8th St
Lewiston, ID 83501
Phone (208) 743-9543

1512 12th Ave Rd
Nampa, ID 83686
Phone (208) 463-5000

1605 N Catherine St
Post Falls, ID 83854
Phone (208) 773-6145

3782 E Carradale Ave
Post Falls, ID 83854

460 N Garden Plz
Post Falls, ID 83854
Phone (208) 777-0318

52 N Cedar St
Post Falls, ID 83854
Phone (208) 661-8635

13400 N Meyer Rd
Rathdrum, ID 83858
Phone (208) 687-0495

624 S Division Ave
Sandpoint, ID 83864
Phone (208) 265-2354

9104 Babcock Blvd
Ste 2116
Pittsburgh, PA 15237
Phone (412) 348-0330

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

3601 5th Ave
#700
Pittsburgh, PA 15213
Phone (412) 647-0996

1242 11th St
Clarkston, WA 99403
Phone (208) 401-9618

Interoperability endpoints

  • Direct secure messaging: rebecca.haddad@upmcdirect.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1003572041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12657 N KENOSHA LN APT J303",
            "city": "RATHDRUM",
            "state": "ID",
            "postal_code": "838587477",
            "telephone_number": "412-841-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 N MERRITT CREEK LOOP STE A",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144961",
            "telephone_number": "208-819-2183",
            "fax_number": "208-209-6063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17121 E 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "990168556",
            "country_code": "US",
            "telephone_number": "208-819-2183",
            "fax_number": "208-209-6063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "REBECCA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "2271971",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA70037722",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BECCA",
            "last_name": "HADDAD",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coeur D Alene, ID

Sources for this page

Verify at the official NPI Registry.